Kev pw tsaug zog yog lub cev nqaij tawv uas lub cev thiab lub hlwb tseem ua haujlwm, tab sis tsis nyob hauv ib lub xeev ntawm kev vam meej-plawv atherosclerosis, ntshav siab, ntsuas tus kab mob, lub cev kub, thiab lwm yam. Thaum tus me nyuam loj hlob, nws txoj kev pw tsaug zog thiab kev vam meej tseem tuaj yeem hloov; nyob rau hauv kev loj hlob, nws yog nyob ze rau lub regime ntawm ib tug neeg laus. Nws yog txoj kev cai kom paub qhov txawv ntawm ob theem ntawm kev pw tsaug zog: pw nrog ceev ceev qhov muag (BDG), los yog pw tsaug zog ceev, thiab tag nrho cov sij hawm pw tsaug zog. Txhua theem nws muaj nws tus yam ntxwv. Qhov thib ob theem yog feem ntau muab faib ua 4 theem, nyob ntawm seb qhov ntsuas ntawm immersion hauv kev pw tsaug zog. Lub taw tes pib yog xoom lossis wakeful. Thawj theem: tus neeg xav tias tsaug zog thiab pib tawm. Hauv thawj 3 lub hlis tus me nyuam lub neej tau muab faib ua 3 xuab moos, vim nws xav tau ntau zaus los noj, pw tsaug zog thiab muab pov tseg hauv lub cev. Lub sijhawm no, tus menyuam pw li 16 teev ib hnub twg. Qhov thib ob theem: qhov no yog qhov pw tsaug zog nrog lub sijhawm ntev tshaj. Qhov thib peb theem: tus npau suav tseem sib sib zog nqus, nws nyuaj los tsa ib tug neeg ntawm theem ntawm kev pw tsaug zog. Qib plaub: tus npau suav tob tshaj plaws. Yuav kom awaken ib tug neeg nyob rau hauv lub xeev no, nws yuav siv sij hawm li ob peb feeb.
Nquag pw tsaug zog
Rau ib theem ntawm tus npau suav no yog yus lub qhov muag ceev taw ntawm sab mus rau sab. Feem ntau nws tshwm sim ntawm thawj zaug thiab zaum thib ob ntawm kev pw tsaug zog. Thaum lub sijhawm pw tsaug zog, lub hlwb tsis muaj kev ua si khaws cia cov ntaub ntawv nco, yog li ntawd peb tsis nco qab lub neej uas peb pom nyob rau theem no. Hauv kev npau suav, peb tswj tsis tau cov leeg ntawm caj npab, ceg, lub ntsej muag thiab pob tw, tab sis txoj hlab ntsws, plab hnyuv loj, mob plawv thiab kev npag dav dav. Nco kuj tseem ua hauj lwm, yog li peb nco qab peb kev npau suav.
Hloov hom kev pw tsaug zog hauv me nyuam mos liab:
- Hauv thawj lub hli ntawm lub neej, nruab hnub thiab hmo ntuj ntawm kev pw tsaug zog thiab kev vam meej yog qhov zoo sib xws. Rau lub hlis thib ob, pw tsaug zog yuav tob thiab ntev dua rau yav hmo ntuj.
- Thaum muaj hnub nyoog 1 xyoos tus menyuam feem ntau pw 12-14 teev hauv ib hnub, nrog rau 2 zaug tav su.
- Thaum muaj hnub nyoog 12-18 hlis tus me nyuam maj mam tsis kam pw ib hnub, tab sis tom qab noj hmo nws tseem pw tsaug zog mus txog 4 xyoos.
- Thaum muaj hnub nyoog li 4-12 xyoos, tus me nyuam txoj kev pw tsaug zog maj mam tau txais kev zoo sib xws nrog tus neeg laus txoj kev pw tsaug zog: nws pw nruab nrab ntawm 10 teev ib hnub, thiab tsuas yog thaum tsaus ntuj. Qee cov neeg tshawb xyuas pom tias muaj kev hloov hauv cov qauv pw tsaug zog hauv cov hluas: nruab hnub thaum pw tsaug zog, uas yog ua ntej los ntawm kev ua si nruab hnub thiab kev vam meej mus txog lig thaum tsaus ntuj ntawm cov hnub so. Nws yog ib qho tseem ceeb uas cov hluas tau pw txaus, tab sis nco ntsoov: nws tsis tuaj yeem "pw tsaug zog". Qhov ntev koj pw tsaug zog nyob rau hnub ntawd, qhov nyuaj nyuaj nws yog kev tsaug zog thaum yav tsaus ntuj.
Cov teeb meem pw tsaug zog hauv cov me nyuam
- Unwillingness mus pw. Cov me nyuam tuaj nrog txhua hom kev sib tw, sim ua kom lawv niam lawv txiv, cia li ncua lub sijhawm ntawm chaw pw. Ntau tus hais kom niam txiv nrog lawv nyob ntev mus txog thaum lawv tsaug zog, lossis mus pw hauv lawv niam lawv txiv lub txaj.
- Cov menyuam yaus muaj kev cai raus tes - nrog rau kev thov nqa dej, hnia thaum hmo ntuj, thiab lwm yam. Nyob rau txhua qhov no, tus me nyuam yaum kom nws nyiam thiab saib xyuas qhov xwm txheej, nws ntxias lwm tus. Qhov no yog qhov teeb meem coj cwj pwm, nws yuav tsum tau kho raws li.
- Hmo ntuj awakenings. Lawv tuaj yeem tshwm sim ntawm kev tsis txaus siab mus pw. Feem ntau yog qhov kev ntshai, tab sis lub hom phiaj ntawm tus me nyuam yuav tsum mus pw nrog niam txiv los yog siv ib qho ntawm lawv lub txaj. Nyob rau cov xwm txheej no, tus me nyuam kuj tau hnov thiab tswj tus niam txiv rau lawv tus kheej lub hom phiaj. Peb rov qab soj ntsuam dua nrog kev ua txhaum cai.
- Hmo ntuj ntshai. Lo lus no yog hais txog kev rov qab ua rau lub sijhawm muaj kev nyuaj siab thaum lub sijhawm thawj peb ntawm kev pw tsaug zog (hauv 3-4 theem ntawm kev pw tsaug zog), feem ntau hauv kev ntshai lossis los kua muag. Txhua qhov rov tuaj yeem ua rau muaj kev ntxhov siab thiab kev lub cev xws li tachycardia, dyspnea, tawm hws. Feem ntau ib tug me nyuam tsis tuaj yeem teb cov lus nug, zoo li tsis meej pem thiab tsis totaub, ua rau kev tawm tsam, piv txwv, muab tso rau hauv lub tog hauv ncoo. Yog tias nws tsis tsaug zog ua ntej nws yuav tshem tau kev nyuaj siab, feem ntau yuav yog, hnub tom qab tus menyuam yuav tsis nco qab dab tsi. Feem ntau, qhov teeb meem no tsis muaj mob thiab mus kho tsis tau. Tab sis yog tias tsis muaj kev txhim kho, muaj kev ntsuam xyuas neurophysiological.
- Npau suav phem. Lawv ua rau cov neeg ceeb ntshai tuaj. Tus me nyuam tsim thaum quaj los yog quaj, tab sis koj tuaj yeem nug nws seb nws ua tsis ncaj ncees thiab nqig nws.
- Sleepwalking. Tus me nyuam tau tawm ntawm lub txaj thiab, tsis txhob tsa, paces ncig lub chav los yog ib ncig ntawm lub tsev. Xws li qhov tshwm sim yog suav tias kev ua txhaum ntawm qhov kev sib tw ntawm kev pw tsaug zog, tshwm sim los ntawm kev paub tsis meej ntawm lub tswv yim ua kom muaj kev so kom txaus thiab tsis tuaj yeem. Koj tuaj yeem ua tus me nyuam mus tso rau hauv lub sijhawm pw tsaug zog los kawm txog kev tsaug zog ntawm sleepwalking. Yog hais tias lub sijhawm mus pw tsaug zog rov qab thiab tus menyuam tsis ua rau nws tus kheej, nws tsis xav tau kev kho, thiab feem ntau nws tsis taug txoj kev npau suav. Yog tias qhov teeb meem nruj dua, koj yuav tsum siv tshuaj xws li carbamazepine (ib koob tshuaj thaum mus pw).
- Insomnia. Kev nyuaj ntawm kev tsaug zog los yog kev tsaug zog hauv nruab nrab ntawm qhov tsaus ntuj, tom qab uas tus menyuam tsis tuaj yeem rov mus pw tsaug zog, muaj kev ntxhov siab thiab muaj kev ntxhov siab. Insomnia tuaj yeem ua rau: cov kab mob adenoid, nyob rau hauv qhov kev dag ntxias ntawm kev tuag, nrog rau lwm cov tshuaj tiv thaiv kab mob khaub thuas - theophylline, ephedrine thiab beta-adrenergic. Insomnia tuaj yeem txuam nrog cov kev mob uas muaj caffeine, thiab dauv hauv lub qhov ntswg nrog pseudoephedrine. Yog tias tus me nyuam ntshai heev ua ntej mus pw, los yog qhov teeb meem hauv tsev, tus me nyuam saib TV yeeb yaj duab thiab cov duab uas tsis haum rau hnub nyoog, thiab lwm yam., Nws yuav tsis tau sai sai pw tsaug zog. Kev ntxhov siab los ntawm kev mob, kev pw hauv tsev kho mob, teeb meem hauv tsev kawm ntawv, tuaj yeem ua rau insomnia hauv cov me nyuam. Yog tias insomnia tsis tuaj yeem los yog rov ua dua, tus me nyuam yuav tsum tau kev pab ntawm ib tus kws paub hauj lwm tus kws kho mob.
- Hypersomnia. Hauv kev ua txhaum no, tus me nyuam pw thaum nruab hnub. Qee zaum hypersomnia yog txuam nrog insomnia, feem ntau nws tsuas yog ib qho kev tshwm sim rau kev pauv pw lossis apnea. Hypersomnia tuaj yeem tshwm sim nrog kev nyuaj siab. Tus kws kho mob yuav tsum paub yog hais tias tus menyuam noj tshuaj uas ua rau muaj kev mob nkeeg - ua kom tsis tsaug zog, tshuaj tua kabmob, tshuaj tua kabmob, tshuaj khomob, cyproheptadine, thiab lwm yam. Yog tias hypersomnia tsis tuaj yeem los yog rov ua tsis tau vim tsis muaj kev pom tseeb,
Cov kev tshawb fawb tau pom tias 35% ntawm cov menyuam yaus hnub nyoog qis muaj 5 xyoos mob ntawm kev pw tsaug zog, uas tsuas yog 2% yog mob los ntawm kev puas hlwb. Tus ntxiv 98% ntawm tus neeg mob yog tus cwj pwm phem uas txuam nrog kev pw tsaug zog. Tus txheej txheem ntawm kev kawm pw tsaug zog pib tom qab yug tus me nyuam, txawm tias nws yuav pib ua kom pw tsaug zog rau lub hlis thib peb ntawm lub neej. Nws yog ib qho tseem ceeb uas yuav tsum tau hnov thaum hmo ntuj, qhia kom tus me nyuam pw hauv lub txaj, thiab tsis nyob hauv koj txhais tes, thiab nrog lub teeb tawm. Tsaug rau ntawm nws txhais tes, tus me nyuam yuav tsum muaj thaum nws tsim thaum, thiab thaum nws pom nws tus kheej hauv lub txaj, nws poob thiab ntshai. Khoom noj khoom haus yuav tsum tsis txhob txuam nrog tus me nyuam nrog pw. Yog li nws yog qhov tseem ceeb thaum pub mis rau menyuam kom tsis txhob tsaug zog nrog lub teeb, suab paj nruag, thiab lwm yam kev nruj. Nws yog ib qho tseem ceeb uas yuav tsum muab tso rau hauv lub txaj ntawm cov khoom siv uas tus me nyuam yuav dhau mus ua tus khaus ua khoom muag - cov khoom ua si, cov pam, thiab lwm yam. Raws li hauv kev tshawb fawb, nws tseem ceeb heev kom tsim tau tsoom fwv: tom qab da dej noj mov, ua raws li kev npau suav.
Nws raug pom zoo kom muab tus menyuam pw hauv txhua lub sijhawm thaum tib lub sijhawm - thaum 20-21 teev, nws thiaj npaj txaj rau lub txaj. Nws yog ib qho tseem ceeb los qhia txog kev pw tsaug zog ntawm kev pw tsaug zog - piv txwv, nyeem zaj dab neeg los yog hais thov Vajtswv. Nws yog ib qho tseem ceeb kom piav qhia rau tus menyuam yaus uas cov niam txiv qhia kom nws pw zoo, yog li nws yuav tsum tsis txhob hais kom lawv mus pw los yog ncua lawv mus pw. Tus me nyuam yuav tsum tsaug zog nws tus kheej, thaum tsis muaj niam txiv hauv chav pw. Yog tias tus menyuam yaus quaj, koj tuaj yeem mus lossis saib nws (tos 5 feeb) kom siab nqig, nrog me ntsis tham, tab sis txhob yuam kom pw lossis pw. Tus menyuam yuav tsum to taub tias nws tsis raug tso tseg. Tam sim no peb paub tias yuav ua li cas tshem tawm txoj kev ua txhaum ntawm kev pw tsaug zog hauv tus me nyuam.